Private Diagnostic Clinic, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PRIVATE DIAGNOSTIC CLINIC, PLLC

Doing business as

Duke Otolaryngology of Person County

Practice address

783 Doctors CT Ste C
Roxboro, NC 27573-4575

Phone

(336) 597-9200

NPI assigned

Aug 12, 2008

Last updated

Jul 11, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher Thomas Frederick

Title

Cfo

Phone

(919) 613-7762

Specialties & licenses 1

Addresses

Other names 1

• Duke Otolaryngology of Person County Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1841446762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110566",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277095566",
            "telephone_number": "919-620-4855",
            "fax_number": "919-620-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 DOCTORS CT STE C",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734575",
            "telephone_number": "336-597-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE DIAGNOSTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-613-7762"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duke Otolaryngology of Person County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duke Otolaryngology of Person County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Primary Health Concepts, Inc. (Home Health Professionals)
• Private Diagnostic Clinic, PLLC (Duke Orthopaedics of Person County)
• Private Diagnostic Clinic, PLLC (Duke Anesthesia of Person County)
• Private Diagnostic Clinic, PLLC (Duke Specialty Clinic Person Memorial)
• Private Diagnostic Clinic, PLLC (Harris & Smith OB/GYN - Roxboro)
• Prodigious Health Services, LLC
• Program Resource Institute
• Program Resource Institute
• Radiology Associates of Roxboro, PA
• Peaches Raglin

• Otolaryngology Physician in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Otolaryngology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.